To clarify in Title III, Subtitle B: Rural Protections
On page 121 of the Mark:
Insert new section entitled, - Technical Correction related to Critical Access Hospitals (CAHs), which clarifies that CAHs are eligible to receive 101 percent of reasonable costs for providing outpatient services regardless of billing method and for providing qualifying ambulance services.

To accept with Modification Lincoln Amendment #D6:
Amend Title III, Subtitle D to restore the ratios used in determining geographic hospital wage index reclassification to pre-October 1, 2008 levels until the first fiscal year one year after the Secretary submits the Plan to Reform the Medicare Hospital Wage Index to Congress as required in the Mark. It also would ensure that any applications for reclassification for fiscal year 2011 and subsequent years denied on the basis of the changed ratioswould be reconsidered using the pre-existing ratios, and approved, if the applicant meets the pre-existing ratios. This amendment would be implemented in a budget neutral manner.

To Accept Conrad Amendment #D5:
Adds a new section to Title III, Subtitle B, Part I
The provision extends until January 1, 2012 the bonus payments under Medicare to ambulance service providers which serve the most rural quartile of counties (-super rural areas as originally defined in Section 414(c) of the Medicare Modernization Act (MMA)).